The economic burden of depression among adults with rheumatoid arthritis in the United States

Aims: Depression is the most frequent comorbidity reported among patients with rheumatoid arthritis (RA). Comorbid depression negatively impacts RA patients’ health-related quality-of-life, physical function, mental function, mortality, and experience of pain and symptom severity. The objective of this study was to assess healthcare utilization, expenditures, and work productivity among patients with RA with or without depression.

Materials and methods: Data from adult patients who had at least two visits each related to RA and depression over a 1-year period were extracted from the Truven Health MarketScan research databases. Outcomes comprised healthcare resource utilization, work productivity loss, and direct healthcare costs comparing patients with RA with depression (n?=?3,478) vs patients with RA without depression (n?=?43,222).

Results: Patients with RA and depression had a significantly greater relative risk of hospitalization and number of all-cause and RA-related hospitalizations, utilization of emergency services, days spent in the hospital, physician visits, and RA-related surgeries compared with RA patients without depression. Patients with RA and depression had a higher risk of and experienced more events and days of short-term disability compared with patients without depression. The incremental adjusted annual all-cause and RA-related direct costs were $8,488 (95% CI = $6,793–$10,223) and $578 (95% CI = –$98–$1,243), respectively, when comparing patients with RA and depression vs RA only.

Limitations: The current analysis is subject to the known limitations of retrospective studies based on administrative claims data.

Conclusions: This study suggested increased healthcare utilization, work productivity loss, and economic burden among RA patients due to comorbid depression. These findings emphasize the importance of managing depression and including depression as a factor when devising treatment algorithms for patients with RA.     

基于社会服务的示范性高职院校师资队伍建设——以广东农工商职业技术学院为例

服务是高职院校的第一宗旨,而社会服务能力的高低关键在于示范院校师资队伍建设。该文从广东农工商职业技术学院社会服务能力的实际情况出发,分析了该院师资队伍建设存在的问题,认为,首先应通过体制创新,提高教师社会服务意识;其次通过不同途径打造"双师型"教师团队,从而提升教师社会服务能力。     

关于开展航海职业教育扶贫工作的探讨

建设新农村的核心环节是提高农民收入。对贫困地区进行扶贫是党和政府解决贫困地区农民问题的重要手段之一,其中心工作是提高农民收入。通过开展航海职业教育扶贫工作可以有效地帮助转移农村富余劳动力,提高农民综合素质,增加农民收入,增强农民自身的造血功能,彻底改变贫穷的面貌;同时也有利于促进航运业和航海职业教育的发展。开展航海职业教育扶贫工作是一个多方合作共赢的过程。     

Analysis on the internal mechanism forming the capital operation venture of nation-owned enterprises

According to the Capital of Karl Marx, capital aims at realizing the value maintenance and increment during the process of its cycle and turnover. Without the conditions of capital＇s cycle and turnover, it will break off. This will furthermore bring an obstacle to the value maintenance and increment of capital, which is the root of capital operation venture and is also the internal mechanism forming the capital operation venture of nation-owned enterprises.     

中国银行业跨国并购的同心圆战略

当前的全球银行跨国并购浪潮，是在第五次全球企业并购浪潮下产生的，中国银行业要抓住这一历史机遇，通过实施“同心圆”战略，从企业竞争上升到产业竞争的高度去整合全球金融资源，建立起自己的产业价值链优势，在国际金融博弈中获得先发优势。     

基于引制一体化的定向战斗部起爆控制研究

采用定向战斗部已成为防空导弹增强战斗部杀伤威力的重要发展方向，但是定向战斗部的应用对起爆控制系统提出了新的要求。本文提出一种利用防空导弹无线电引信与导引头一体化设计（简称引制一体化设计），并应用数据融合实现定向战斗部起爆控制的技术途径。     

三种基本契约制度适用条件的比较分析——以格兰仕为例

20世纪90年代以来企业经营环境的变化、行业内竞争的负面效应和企业自身资源和能力的有限性,使得合作竞争战略的实施成为必然。基于博弈论思想,本文提出了合作竞争战略的基本涵义,重点分析了企业与同行非完全信息静态博弈模型及其均衡解,并以格兰仕为例作了进一步阐述。     

Innovative productivity and returns to scale in the pharmaceutical industry

This study shows that firms in the pharmaceutical industry experience decreasing returns to scale in R & D as the level of R & D expenditures rises. The paper presents the results of our study of the innovative output of 16 pharmaceutical firms over a 19 year period. Given the strong correlation between R & D budgets and firm size, our study suggests the wave of mergers in the industry may yield less innovative productivity than managers expect.     

现代城市管理若干理论述评

近年来国内外影响较大的现代城市管理理论有：生态城市管理理论、新城市主义管理理论、城市营销理论、经营城市理论、城市竞争力理论和数字城市理论等等。现代城市管理论的繁荣促进了城市管理科学向更深、更高层次的发展，但是仍然有许多不足。当代城市管理，尤其是我国的城市管理，理论研究有余而实证研究不足。未来城市管理的研究必将呈现进一步综合化、系统化的发展趋势。     

央企资产评估管理的问题与改进

我国加入WTO后市场化程度日益加深,国有资产结构和布局调整的力度明显加大,在国有资本"有进有退,有所为有所不为"的原则下,国有企业改制、购并、重组、上市、主辅分离、中外合资等经济行为日益频繁,国有产权流转量急剧攀升,国有资产评估管理工作的重要性和业务量逐步突显出来.为此,笔者就中央企业集团资产评估备案管理谈几点认识.